LVN Case Managers

Covina, CA 91723

Employment Type: Contract Job Category: Licensed Vocational Nurse LVN Job Number: 59374 Pay Rate: 38

Job Description

We are in search of an experienced Case Manager to join our thriving team!

Responsibilities:

  • Functions as liaison between administration, members, physicians and other healthcare providers
  • Interacts professionally with member/family/physicians and involves member/family/physicians in formation of the plan of care
  • Communicates appropriately and clearly with physicians, in patient case managers and Prior-Authorization nurses
  • Develops an outcome-based plan of care, based on the member s input and assessed member needs.
  • Implements and evaluates the plan of care as often as needed as evidenced by documentation in the member s case file.
  • Initiates community visits (hospital, home visits) as needed to assess patient progress and meet with appropriate members of the patient care team.
  • Manages transition of care from the sending to receiving settings ensuring that the Plan of Care moves with the member and updates/modifies the care plan as the member s health care status changes.

Qualifications:

  • Active CA LVN or RN License
  • Active CPR/BLS Certificate
  • Valid CA Driver s License
  • 1+ year of Utilization experience
  • Experience with HMO insurance
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